Headlee, Michael Wayne
Headlee, Michael Wayne is an individual health care provider with primary practice located at 1426 Bemidji Ave N Ste 2 , Bemidji MN 56601-3882. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Headlee, Michael Wayne can be contacted via phone (218) 333-8811.Contact Information
Primary practice address
1426 Bemidji Ave N Ste 2
Bemidji MN 56601-3882
Phone: (218) 333-8811
Fax: (218) 333-8813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4495 | Minnesota |
Profile Details
| NPI number | 1417085291 |
|---|---|
| LBN Legal business name | Headlee, Michael Wayne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Oct 26th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417085291 | NPPES |
| Minnesota | Other | 4495 | MN CHIROPRACTIC LICENSE |
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